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项目 ECHO 对医生治疗阿片类药物使用障碍准备情况的影响:系统评价。

The impact of project ECHO on physician preparedness to treat opioid use disorder: a systematic review.

机构信息

University of Missouri School of Medicine-Columbia, 1 Hospital Dr., MA204 Med. Sci. Bldg, Columbia, MO, 65212, USA.

School of Information Science & Learning Technologies, College of Education, 303 Townsend Hall, Columbia, MO, 65211, USA.

出版信息

Addict Sci Clin Pract. 2021 Jan 22;16(1):6. doi: 10.1186/s13722-021-00215-z.

Abstract

Opioid use disorder (OUD) is a medical condition that has evolved into a serious and deadly epidemic in the United States. Both medical and psychological interventions are called for to end this growing epidemic, but too few health care professionals are trained to treat OUD. One proven model of training physicians and cross-disciplinary teams in treating a variety of disorders is exemplified by Project ECHO (Extension for Community Healthcare Outcomes), a collaborative tele-mentoring program in which specialists train health-care workers to treat medical conditions, especially those that affect underserved populations. This systematic review found that Project ECHO has the potential to effectively extend current services to patients suffering from OUD, but that there is also a gap in knowledge regarding this type of training. The articles that we reviewed all presented evidence that Project ECHO improves healthcare provider preparedness to treat OUD, especially in regard to improving knowledge and self-efficacy.

摘要

阿片类药物使用障碍(OUD)是一种在美国已演变为严重和致命性流行疾病的医学病症。要终结这一日益严重的流行疾病,需要采取医学和心理干预措施,但接受过治疗 OUD 培训的医疗保健专业人员太少。“ECHO 项目”(Extension for Community Healthcare Outcomes 的缩写)就是一个经证实的医生和跨学科团队培训模式,通过该模式对医疗保健工作者进行各种疾病的培训,特别是针对服务不足人群的疾病培训。这是一个协作式远程指导项目,其中专家对医疗工作者进行培训,以治疗各种医疗状况。该项目证明了有潜力将当前的服务有效地扩展到患有 OUD 的患者,但对于这种类型的培训,知识上仍存在差距。我们回顾的所有文章都提出了证据,表明 ECHO 项目提高了医疗保健提供者治疗 OUD 的准备程度,特别是在提高知识和自我效能方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb0/7821394/d6460a2da85a/13722_2021_215_Fig1_HTML.jpg

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